摘要
目的探讨踝关节骨折术后患者采用桃红四物汤治疗对其骨折愈合时间及关节功能恢复的影响.方法选择2018年2月—2021年4月该院收治的116例踝关节骨折术后患者为研究对象,以随机数表法分组.对照组(n=58)采用术后常规功能锻炼,观察组(n=58)则在对照组基础上联用桃红四物汤.对比两组关节功能恢复优良率,治疗前后关节活动度以及患肢肿胀度,治疗前后骨钙素、护骨素水平以及骨折愈合时间.结果观察组关节功能恢复优良率为89.66%,高于对照组的70.69%,组间差异有统计学意义(P<0.05).治疗后,观察组踝关节跖屈角度、背伸角度分别为(22.48±2.65)°、(28.76±3.12)°,均大于对照组,肢体肿胀值为(1.10±0.17)cm,小于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组骨钙素、护骨素水平分别为(4.61±0.85)g/L、(128.54±11.27)ng/L,均高于对照组,骨折愈合时间为(61.20±7.12)d,短于对照组,组间差异有统计学意义(P<0.05).结论踝关节骨折术后患者采用桃红四物汤治疗,能够改善患者的关节功能及骨代谢水平,减轻肢体肿胀程度,促进骨折愈合.
Objective To investigate the effect of Taohong Siwu Decoction on fracture healing time and joint function recovery in patients after ankle joint fractures surgery.Methods A total of 116 patients after ankle joint fracture surgery who were treated in this hospital from February 2018 to April 2021 were selected as the research objects and grouped by random number table method.The control group(n=58)was given routine functional exercise after surgery,while the observation group(n=58)was given Taohong Siwu Decoction on the basis of the control group.The excellent and good rates of joint function recovery,the range of motion of the joints and the degree of swelling of the affected limbs before and after treatment,and the levels of osteocalcin,osteoprotegerin before and after treatment,and fracture healing time were compared between the two groups.Results The excellent and good rate of joint function recovery in the observation group was 89.66%,which was higher than 70.69%in the control group,and the difference between the groups was statistically significant(P<0.05).After treatment,the ankle joint plantar flexion angle and dorsal extension angle of the observation group were(22.48±2.65)°and(28.76±3.12)°respectively,which were higher than those of the control group,the limb swelling value was(1.10±0.17)cm,which was smaller than that of the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the levels of osteocalcin and osteoprotegerin in the observation group were(4.61±0.85)g/L and(128.54±11.27)ng/L,which were higher than those in the control group,the fracture healing time was(61.20±7.12)d,which was shorter than that of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Taohong Siwu decoction can improve the joint function and bone metabolism level of patients after ankle joint fracture surgery,reduce the swelling degree of limbs,and promote fracture healing.
作者
张伟刚
ZHANG Weigang(Department of Traumatology and Orthopaedics,Kunshan Affiliated Hospital of Nanjing University of Traditional Chinese Medicine(Kunshan Hospital of Traditional Chinese Medicine),Kunshan Jiangsu,215300,China)
出处
《反射疗法与康复医学》
2021年第24期8-11,共4页
Reflexology And Rehabilitation Medicine
关键词
踝关节骨折
手术
桃红四物汤
功能锻炼
关节功能
骨代谢
Ankle joint fracture
Surgery
Taohong Siwu decoction
Functional exercise
Joint function
Bone metabolism
作者简介
张伟刚(1972-),男,江苏昆山人,本科,副主任医师,研究方向:创伤骨科临床。
